Avem Health Partners

Job Purpose The Lead Coder will code all patient types as needed; inpatient, swing bed, same‑day surgery, ancillary, ambulatory and provider‑based clinics, and will mentor, train, and assist coding staff, including newly hired staff. They must review documentation to assign appropriate CPT/HCPCS and ICD‑10‑CM‑PCS diagnosis codes and procedures for hospital and physician (professional) services for inpatient and outpatient records based on knowledge of coding systems. Essential Functions Ensures that coding compliance initiatives are met with all record types. Conducts regular internal coding audits and quality assurance reviews to monitor coding accuracy, identify areas for improvement, and implement corrective measures and education as needed. Assists with productivity reporting and reducing DNFC. Coding complex outpatient or inpatient accounts utilizing encoder software and references in the assignment of ICD‑10‑CM/PCS, CPT/HCPCS codes, DRG, POA assignments, APC assignment...

A health services organization is seeking a Medical Billing Specialist in Oklahoma City to ensure timely submission of hospital claims to insurance carriers. The ideal candidate will have a high school diploma and at least two years of hospital billing experience. Responsibilities include processing claims, resolving discrepancies, and maintaining compliance with insurance regulations. This is a full-time, entry-level position, offering a chance to grow within the organization. #J-18808-Ljbffr

Medical Billing Specialist – Avem Health Partners Job Purpose Assure timely and accurate submission of hospital claims (electronic and paper) to ALL insurance carriers. Essential Functions Prepare, review, and transmit claims using billing software, including electronic and paper claim processing. Identify and bill secondary or tertiary insurances. Work rejected claims for timely re-submission. Assure claim contains pertinent and correct information for processing. Research previously processed claims when needed. Identify billing patterns, processing errors and/or system issues that inhibit the final adjudication of claims and report to Revenue Cycle Manager. Coordinate and resolve any and all issues related to claims processing with the appropriate departments as required. Research, resolve, and respond to claim re‑submission appeals and inquiries for Medicaid. Reviews system generated work list, reports and/or aged trial balances to resolve accounts which have not...